Answer to the discussion.
· All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.) ISBN: 978-1-4338-3216-1
· Minimum of two references, not older than 2015.
What are your beliefs about the major concepts in nursing—person, environment, health, nursing?
The central themes and unifying concepts that form the basis of nursing in their broadest sense constitute the nursing metaparadigm. Fawcett has named person, health, environment, and nursing as the four main concepts of nursing that need to be comprehensively defined. The metaparadigm forms the backbone, figuratively speaking, of what it is that nurses do (Nilgun Ulutasdemir Ed., & Al., 2021). These metaparadigm concepts are tied together by the laws that govern the highest function of the health of a human being, how the human being interfaces with the environment, and the process by which positive or negative changes in health ensue.
A person is defined as the one receiving the nursing care. The environment is viewed as the area or space wherein the person exists. Health is seen as the patient’s point along the health-illness continuum. Nursing is the action taken by the nurse. A nursing theorist defines each of these metaparadigm concepts under their worldview of nursing. Thus, a metaparadigm can be an overarching principle or umbrella covering our outlook that defines our practice (Nilgun Ulutasdemir Ed., & Al., 2021).
As a nurse, it is essential to take an inventory of ourselves by examining how we were brought up, what we assume to be accurate, what beliefs we hold dear, and what our values entail. This will assist us in defining our worldview that guides and influences our practice. This can be done by examining our cultural beliefs. There are three (3) categories of beliefs: existential beliefs, evaluative beliefs, and prescriptive/proscriptive beliefs. Existential belief could be true or false. Evaluative beliefs are judgments about what is good or bad. Prescriptive and proscriptive beliefs evaluate people’s behavior, what people should do (prescriptive), or not (prescriptive).
My beliefs about the central concepts in nursing such as a person, environment, health, nursing go to Prescriptive and proscriptive. The distinction between should and should not is related to two forms of beliefs that have been identified in the literature: proscriptive beliefs (what we should not do) vs. prescriptive beliefs (what we should do). Nurses’ job is not to define true or false, nor be judgmental about patients. However, evaluating patients’ behavior and determining what they should base on their behavior will best define a nurse’s job. Prescriptive beliefs are sensitive to positive outcomes, activation-based, and focused on what we should do. Proscriptive beliefs are sensitive to adverse outcomes, inhibition-based, and focused on what we should not do (Janoff-Bulman et al., 2019).
References
Janoff-Bulman R, Sheikh S, Hepp S. Proscriptive versus prescriptive morality: two faces of moral regulation. J Pers Soc Psychol. 2019 Mar;96(3):521-37. DOI: 10.1037/a0013779. PMID: 1925410
L Pavey, P Sparks, S Churchill, Proscriptive vs. Prescriptive Health Recommendations to Drink Alcohol Within Recommended Limits: Effects on Moral Norms, Reactance, Attitudes, Intentions and Behaviour Change, Alcohol and Alcoholism, Volume 53, Issue 3, May 2018, Pages 344–349
Nilgun Ulutasdemir Ed., & contributing authors. (2021, August 2). The Nursing Metaparadigm. Gümüşhane University.
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